Active NPI
Kinfolk NC ABA LLC
- Behavior Analyst
- Charlotte, NC
National Provider Identifier
1871346189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- KINFOLK NC ABA LLC
- Practice address
- 301 S McDowell St Ste 125-2049
Charlotte, NC 28204-2623 - Phone
- (980) 249-4010
- Fax
- (980) 249-4011
- NPI assigned
- Apr 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zishe Rubin
- Title
- Owner
- Phone
- (917) 246-8382
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
301 S McDowell St Ste 125-2049
Charlotte, NC 28204-2623
Mailing address
301 S McDowell St Ste 125-2049
Charlotte, NC 28204-2623
Phone (980) 249-4010
National Provider Directory
National Provider DirectoryLocations
301 S McDowell St
Ste 1252049
Charlotte, NC 28204
Phone (980) 249-4010
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Charlotte, NC
- NPI 1497308928
-
- Behavior Analyst
- Portland, OR
- NPI 1215439369
-
- Behavior Analyst
- Lacey, WA
- NPI 1649918319
-
- Behavior Analyst
- Westborough, MA
- NPI 1275221335
-
- Behavior Analyst
- San Francisco, CA
- NPI 1215367511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1871346189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S MCDOWELL ST STE 125-2049",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042623",
"telephone_number": "980-249-4010",
"fax_number": "980-249-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S MCDOWELL ST STE 125-2049",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042623",
"telephone_number": "980-249-4010",
"fax_number": "980-249-4011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINFOLK NC ABA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-08",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "ZISHE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-246-8382"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.